Stroke - Cerebrovascular accident

High urgency
-Moderately severe

Disease that affects the blood vessels responsible for supplying blood to the brain. When the vessel is blocked by an embolism or thrombus, it is called an ischaemic stroke, and when the lesion is secondary to a rupture of the vessel, it is known as a haemorrhagic stroke.

There are factors that increase the risk of stroke: older age, family medical history, race or gender, high blood pressure, smoking, diabetes and heart disease.

Symptoms will vary depending on the area of the brain that is affected. The most common symptoms are: loss of strength, altered sensation in a region of the body, difficulty speaking or walking, deviation of the mouth, and decreased level of consciousness.

Diagnosis is made on the basis of a medical history, complete physical examination, blood tests and a CT-scan.

Stroke due to lack of blood supply is treated with medication that "liquefies the blood" (fibrinolytics, anticoagulants, antiplatelet agents) or with interventional techniques, which use a catheter to channel the affected blood vessels and permeabilise their inner lumen. Haemorrhagic stroke due to a ruptured blood vessel usually requires surgical treatment. In both cases treatment is very urgent and cannot be delayed. After the acute phase, a large number of patients will need rehabilitation to recover the functions lost due to the lack of cerebral irrigation.  

Bibliographic references
  1. Louis R Caplan. Overview of the evaluation of stroke. UpToDate. Apr 12, 2016.
  2. Jamary Oliveira Filho, Michael T Mullen. Initial assessment and management of acute stroke. UpToDate. Aug 15, 2016.
  3. Demaerschalk BM, Kleindorfer DO, Adeoye OM, et al. Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke 2016; 47:581.
  4. Hemphill JC 3rd, Greenberg SM, Anderson CS, et al. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke 2015; 46:2032.
  5. Jauch EC, Saver JL, Adams HP Jr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013; 44:870.
  6. Johnston SC, Easton JD. Enfermedades cerebrovasculares. Manual de diagnóstico y terapéutica médica Hospital Universitario 12 de octubre. 6ª edición. 2007. 59:66.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Neurological symptoms: impaired speech, physical strength or feeling


    Loss of strength or paralysis of half of the body


    Loss of feeling in half of the body


    Gaze deviated to one side


    Difficulty articulating words

Pre-hospital care recommendations

Remain calm.
Call medical assistance for instructions.
Do not eat or drink to prevent choking.